Dr Kirby Dwight Clark, MD in Saint Paul, MN

Dr Kirby Dwight Clark, MD is a medicare enrolled "Family Medicine" physician in Saint Paul, Minnesota. He went to University Of Minnesota Medical School and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fairview Clinics and his current practice location is Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 772-3461.

Dr Kirby Dwight Clark is licensed to practice in Minnesota (license number 45690) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447288311.

Contact Information

	Dr Kirby Dwight Clark, MD
	Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN 55106
	(651) 772-3461
	(651) 772-2605

Map and Direction

Physician's Profile

Full Name	Dr Kirby Dwight Clark
Gender	Male
Speciality	Family Practice
Experience	23 Years
Location	Ufp Phalen Village Clinic, Saint Paul, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kirby Dwight Clark attended and graduated from University Of Minnesota Medical School in 2001

NPI Data:

NPI Number: 1447288311
Provider Enumeration Date: 06/29/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 8426172719
Enrollment ID: I20100823000979

Medical Identifiers

Medical identifiers for Dr Kirby Dwight Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447288311	NPI	-	NPPES
A024	Other	MN	CHAMPUS
HP54853	Other	MN	HEALTHPARTNERS
01-21349	Other	MN	MEDICA CHOICE & PRIMARY
0567727	Medicaid	IA
128460600	Medicaid	MN
2374581	Other	MN	ARAZ
676T8CL	Other	MN	BCBS
1044612	Other	MN	PREFERRED ONE
135432	Other	MN	UCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	45690 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Healtheast St John's Hospital	Maplewood, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Clinics	7113830142	658

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kirby Dwight Clark allows following entities to bill medicare on his behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

Entity Name	Healtheast St Joseph's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134186273 PECOS PAC ID: 2365348869 Enrollment ID: O20031208000245

Entity Name	Healtheast St John's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kirby Dwight Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kirby Dwight Clark, MD Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN 55106 Ph: (651) 772-3461	Dr Kirby Dwight Clark, MD Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN 55106 Ph: (651) 772-3461

Reviews and Comments

Family Medicine Doctors in Saint Paul, MN

Huiying Guo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 952-967-5584
Sana Zekri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 580 Rice St, Saint Paul, MN 55103 Phone: 651-982-7618
David Alan Ness, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 Snelling Ave S, Saint Paul, MN 55116 Phone: 651-690-1311 Fax: 651-690-2447
Patrick N Arnold, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 234 Wentworth Ave E, Saint Paul, MN 55118 Phone: 651-455-2940 Fax: 651-455-3354
Laurel Ries, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 980 Rice St, Saint Paul, MN 55117 Phone: 651-326-9020 Fax: 651-326-9021
Dr. Stephanie Dawnonnerate Stanton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Como Ave, Saint Paul, MN 55108 Phone: 952-853-8800
Ravi Balasubrahmanyan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N Ste 4640, Saint Paul, MN 55102 Phone: 651-241-1001 Fax: 651-241-1116

Dr Kirby Dwight Clark, MD - Medicare Family Practice in Saint Paul, MN